HomeMy WebLinkAbout1263 Deciaration of Dor~nic~~e ana c~~j~zensn~p
7'O TNE STATL' AND COUNTY TAX ASSESSOR. ~~~~~2
ST. LUCIE CpUNTY, Fl.OR1DA: -
This is my declaration of Domicile and Citizenship in the State of Florida that I am ~ling this day in
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accordance, and in coniarmity with Section 222.17, Flarid~ Statutes.
1 was formerl a legal resident of ~~~~~~I ' G and 1 -
~ y (Ci~y) (Su~ L
resided at t~ - 5. • However, 1 have changed my domicile to ,
(Strtet snd Num~) ~
and am and have bcen a bona Gde resident of the State of Florida since day of ,
Sp4.~~sh :~4 ~e.s
, 19~ and 1 reside at 9 Q r ~ p
csu~.~,~a H~m
~D
r ~ 7 ~~.1 / ~ - ~ t• ~1~ r~ County, Flotida, ;
((Str) }
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. ~ '
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(Insert hete snr pertinent facts, sucA u sale ot propertr or business. o~ relinquishmmt ot emplo7ment at forma
domic~le~ remoYal ot fsmilr to cxw domicue, purchsse of Aome. etc.)
ENTERING CHILDREN IN SCHOOL: n. HOMESTEAD EXEMPTION: ~
If entering children in school,
please list their names:
~
aT
i~°c
~ iovrirr F~,~ ~
ClE KCCf CUITRAS .
REr,nF~ vE;,~_~E~ COURt ~
8 2 s6 PH'T~
~ 285282 . -
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~
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I FURTHER CERTIFY that 1 will register at my local address when the registration books reopen, and
~ comply with all other requiremenzs of a legal resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and I intend to remain in
~ ~ T. LUCIE County,
~ o ~-t Sz`.= u ~ ~ ~
Florida, permanently.
.
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~ ,v , •~jJ•~~~"••,•• ~j• ~
; . ~ ~ . ~ . . Y . . . ' ~ " .
. - ~1 •i
Syr~arn'to.~n~ soli~c'nfi~~ before me this ~ day of
' ' t ~ A.D. 19~~ '
` ~ ~ , Florida
R - -
: . . - ~ -
':i~uw~~i~
gy I?eputy Clerk
60UK ~.~.t7 PA6[
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